| NPI | 1831387117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BARNETT CFO 501-609-2253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2020-03-02 |